HomeMy WebLinkAboutBuilding 01-0389
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-~...OI
,~€:>3>i
'fr,-r-
f-h.", 1
~,~
LEGAL DESCRIPTION (office use only)
I. White File I PERMIT NO. I f1D
2 Pink City
3. Yellow Applicant 0 - 03
13>
50;5
~. E..,
ZONING (office use)
LOT BLOCK ADDITION PID 2 5 ~ 02,-Oq~-
OWNER C.- ...\. r-r G Ls (J -"\ - f"'\. <... D c,,,,,-" ~ J. ' ~ b l 1... - '3> CG. 'L - (,) l. c... <-> c~lf
(Name) (Phone) '15 1... - Y ~, - e s" -.s;-,.. "'<-
(Address) 8C.L~ t-"\ ~ r-f, "\ ,.{ ., Ie 5 -t- Nc ?-r., ,,-, Lk 5'53, ~
BUILDER f\
(Name) u/\ L.
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Lower Level Finish
o Deck o Porch ORe-Roofing ORe-Siding
o Fireplace o Addition ~lteration .Iv.. t . OUtility Connection
PROJECTCOST/VALUE (exdudingland) $ 6"'~
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X C ~..B 6 b 0-"""
Signature - Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 3CJ.Z7
I
t;- '2 '200L
Date
Paid
Date
3~t
~ ....() J
I~O
3f5~9
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 11<85"( ~ :S
TYPE OF WORK .T,^ \. AIf........y:'''"'''1
USE OF BUILDING ~ P< _~
,
PERMIT NO. 01-0381 DATE ISSUED S-2-20o /
BUILDER CuJ- et~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I~ C1~"k~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I'~ I I
I I
"
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
RPR-18-2001 11:~3 RM MCDONRLDS
?D...~ ,
1(.)_
8357037
;\
11
I
..~.&.
13 4.. 4.:.) D..r -r n~'-
r-rG,",",- tu..rr 0 l S,,-
Sere'. r..~te perr:nits are r?quirecL. - D l n L
[r,:" i""lumbmg, Heating, 1 v\. L u/\. t-. a '':>
Out::,icJe Sewer and Water,
Electrical, etc. r
~C~oJL\
L \ .s + INSPECTOR :
DATE 0- -~( b PERMITNO Ol-O~
\ 0 ACCEPTED AS SUBMITTE' . - f
12 c:. P CLl'- Lt....J4. l ( ?Cl\.)? e-6'ACCEPTED WITH CORREolnONS AS NOTED
o NOT ACCEPTED-CORRECll & RESUBMIT
'il c.. p t 4. c.. c:... lo l.i.J c..Y" ?..... >f\ c: \"h~w~ments are for your information. All work shall be done
In . ull c~hance with all applicabl~ building & zoning code re-
~ ' + QUlre;nents I~clud:ng items not sp~fical!y noted in this review.
.1 (.. L"..rC, 5 KEEPTdlS PLAN SETONJ31TEATALL TIMES.
-
(\ e.. w
I
I
I
I
~Q.Jc-e
R~OR LAKE
Mill PLAN REVIEW
C e",+ t:'-
e le c.--tt"', c CoI.. J
~ bo()~ ~?h,,\~+t"r1
o-f I b b~\1
.. ~ I
I"" ""th,~ ~C4(1
n e. w -r ~ b k:.. +CJ )":)S f c.. ,^A. lr 5
- K c. ('Ill.. u~~ (L w"-ll
~c.\r l S n-
,\
'l3 L..\ \ \ t 0... R (J c..(<-' F, r < p tc:c. '- < u.,. / ...:s I '-'4: ~ l c;.... 1- e.ol F; r e.
~~S~ ......dl ^O+ be../q,,~c;.+.:.) c...~e.. .bl~ be="I.st::
o-f- 1'0+ e....-+ Ie.. I de.< ~ e/" +<> C 45 +-ot cr S. Lc:.(lld ,c,,)
-t-" ~ (J" \~....J c..... ~ 0+ ...s \J\..r~ c:.... Co. L. -,-~, ~i l.A'" + d. c e. 5'
:1
V\e e. ~ l - ,\ 0 V' 0 t..L. +-(e.+ 1'" ~ P Q \.Iv' c...-.; -f 1&4..- c::...
:1
:1
'I
I
......~ ---/ '" ~ '\ ') ,^C So -h t~ s -+ /...-c...-J-.
~ ~ '"' \::- "":> ';
,i
"
c..... l.\.t'" +- 0 l s. 0 {
1'''' jC"-- - E, SI- <;0 B .. '-Ib" ~
F c-~~ - 9 5 L - L/ 0 "2. - 9 3 B r
\-\~ fV\C- 951- - '-{ 0 2.. - Cj 3 -b :,
i
.:5 ,''""\. ~ \ ~ + 'l 0"",,, ..
7le~ 5oe. C c;..", +-~ <-+
hCtcJe~
,-\O"^